Endovascular stent graft repair for the treatment of dissecting thoracic aneurysms is emerging as a safe, minimally invasive and attractive alternative to surgery. This article aims to highlight the importance of computer tomography (C.T ) angiography as a non invasive imaging modality in the diagnoses of thoracic dissecting aneurysms in patients with widened mediastinum post trauma and its role in the pre-endovascular stent work up for the treatment of thoracic dissecting aneurysms. The major limitations for the use of endovascular stent graft repair are discussed. A comparison of endovascular stent graft vs surgery is reviewed looking at long and short term morbidity. The complications of endovascular stent graft repair are also highlighted.

aortic endovascular stenting